TY - JOUR
KW - Aged
KW - Colorectal Neoplasms/diagnosis
KW - Counseling/methods
KW - Female
KW - Follow-Up Studies
KW - Health Promotion/methods
KW - Humans
KW - Male
KW - Mass Screening/methods
KW - Medical Records
KW - Middle Aged
KW - Pamphlets
KW - Patient Acceptance of Health Care
KW - Patient Education as Topic/methods
KW - Primary Health Care
KW - Software
KW - Telephone
AU - M. E. Costanza
AU - R. Luckmann
AU - A. M. Stoddard
AU - M. J. White
AU - J. R. Stark
AU - J. S. Avrunin
AU - M. C. Rosal
AU - L. Clemow
A1 - 
AB - BACKGROUND: Few interventions to increase colorectal cancer screening have used a stage of change model to promote screening adoption. None have used computer-assisted tailored telephone counseling calls. This study's purpose was to implement and evaluate stage-based computer-assisted tailored telephone counseling to promote colorectal cancer screening in a primary care population. METHODS: This randomized controlled trial used a two-stepped intervention that included a mailed booklet on colorectal cancer screening followed by computer-assisted telephone counseling that was based on the Precaution Adoption Process Model. Chart audit was used to document completion of colonoscopy, sigmoidoscopy or fecal occult blood testing. RESULTS: Record audits were completed on 2,474 (88%) of the 2,817 eligible participants. There was no significant difference in the frequency and nature of the screening tests completed in the study arms. In a sub-analysis, stages of adoption were evaluated pre- and post-telephone counseling. Over half those receiving counseling reported a change in stage towards screening adoption. CONCLUSION: Overall, the intervention did not increase colorectal screening compared to control. Two possible reasons for the absence of a screening effect include: (a) the focus of the protocol on education for most patients rather than motivation, and (b) the requirement that patients interested in screening seek further information and a referral on their own from their providers. While those receiving telephone counseling improved their stage of adoption, we cannot rule out selection bias. Stronger physician recommendation to speak with the counselors could improve call acceptance. Future colorectal screening should address these weaknesses.
BT - Cancer detection and prevention
C5 - HIT & Telehealth
CP - 3
CY - England
DO - 10.1016/j.cdp.2007.04.008
IS - 3
JF - Cancer detection and prevention
N2 - BACKGROUND: Few interventions to increase colorectal cancer screening have used a stage of change model to promote screening adoption. None have used computer-assisted tailored telephone counseling calls. This study's purpose was to implement and evaluate stage-based computer-assisted tailored telephone counseling to promote colorectal cancer screening in a primary care population. METHODS: This randomized controlled trial used a two-stepped intervention that included a mailed booklet on colorectal cancer screening followed by computer-assisted telephone counseling that was based on the Precaution Adoption Process Model. Chart audit was used to document completion of colonoscopy, sigmoidoscopy or fecal occult blood testing. RESULTS: Record audits were completed on 2,474 (88%) of the 2,817 eligible participants. There was no significant difference in the frequency and nature of the screening tests completed in the study arms. In a sub-analysis, stages of adoption were evaluated pre- and post-telephone counseling. Over half those receiving counseling reported a change in stage towards screening adoption. CONCLUSION: Overall, the intervention did not increase colorectal screening compared to control. Two possible reasons for the absence of a screening effect include: (a) the focus of the protocol on education for most patients rather than motivation, and (b) the requirement that patients interested in screening seek further information and a referral on their own from their providers. While those receiving telephone counseling improved their stage of adoption, we cannot rule out selection bias. Stronger physician recommendation to speak with the counselors could improve call acceptance. Future colorectal screening should address these weaknesses.
PP - England
PY - 2007
SN - 0361-090X; 0361-090X
SP - 191
EP - 198
EP - 
T1 - Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening
T2 - Cancer detection and prevention
TI - Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening
U1 - HIT & Telehealth
U3 - 10.1016/j.cdp.2007.04.008
VL - 31
VO - 0361-090X; 0361-090X
Y1 - 2007
ER -